본문 바로가기
KERD
논문KCI 등재

Anatomic Basis of Sharp Pelvic Dissection for Curative Resection of Rectal Cancer

김남규
연세대학교의과대학 (Yonsei University College of Medicine)|2005.12|Yonsei Medical Journal|제46권 제6호|pp. 737-749

2

조회

0

다운로드

12

인용

0

참고문헌

주제분류의학일반

초록

Abstract

The optimal goals in the surgical treatment of rectal cancer are curative resection, anal sphincter preservation, and preservation of sexual and voiding functions. The quality of complete resection of rectal cancer and the surrounding mesorectum can determine the prognosis of patients and their quality of life. With the emergence of total mesorectal excision in the field of rectal cancer surgery, anatomical sharp pelvic dissection has been emphasized to achieve these therapeutic goals. In the past, the rates of local recurrence and sexual/ voiding dysfunction have been high. However, with sharp pelvic dissection based on the pelvic anatomy, local recurrence has decreased to less than 10%, and the preservation rate of sexual and voiding function is high. Improved surgical techniques have created much interest in the surgical anatomy related to curative rectal cancer surgery, with particular focus on the fascial planes and nerve plexuses and their relationship to the surgical planes of dissection. A complete understanding of rectum anatomy and the adjacent pelvic organs are essential for colorectal surgeons who want optimal oncologic outcomes and safety in the surgical treatment of rectal cancer.

참고문헌 (41)

  1. "Adjuvant therapy for patients with colon and rectal cancer", pp.1444~50
  2. "Total mesorectal excision preserves male genital function compared with conventional rectal cancer surgery", 88, pp.1501~5 (2001)
  3. "The mesorectum in rectal cancer surgery-the clue to pelvic recurrence", pp.613~6
  4. "Recurrence and survival after total mesorectal excision for rectal cancer", pp.1479~82
  5. "Mesorectal excision for rectal cancer", pp.457~60
  6. "Total mesorectal excision in the operative treatment of carcinoma of the rectum", 181, pp.335~46 (1995)
  7. "Safety and efficacy of low anterior resection for rectal cancer 681 consecutive cases from a specialty service", 230, pp.544~54 (1999)
  8. "Pelvic autonomic nerve preservation for patients with rectal carcinoma" (1871)
  9. "Assessment of sexual and voiding function after total mesorectal excision with pelvic autonomic nerve preservation in males with rectal cancer", 45, pp.1178~85 (2002)
  10. "Local recurrence of rectal adenocarcinoma due to inadequate surgical resection Histopathological study of lateral tumor spread and surgical excision", pp.996~9
  11. "Role of circumferential margin involvement in the local recurrence of rectal cancer", pp.707~11
  12. "Lateral node dissection and total mesorectal excision for rectal cancer", 43, pp.59~68 (2000)
  13. "Lateral pelvic lymph node dissection for advanced lower rectal cancer", 90, pp.1580~5 (2003)
  14. "Extrafascial excision of the rectum surgical anatomy of the fascia propria", 43, pp.903~10 (2000)
  15. ""Mesorectum":the surgical value of an anatomical approach", 25, pp.290~304 (2003)
  16. "Anatomic basis of sharp pelvic dissection for total mesorectal excision with pelvic autonomic nerve preservation for rectal cancer", 20, pp.424~33 (2004)
  17. "Sharp pelvic dissection for abdominoperineal resection for distal rectal cancer based on anatomical and MRI knowledge", 21, pp.258~67 (2005)
  18. "Anatomical and surgical restudy of Denonvilliers' fascia", pp.373~88, Tobin CE
  19. "A correlative investigation of the human rectovaginal septum", pp.443~51
  20. "Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers' fascia", 91, pp.121~3 (2004)
  21. "An anatomical explanation for bladder dysfunction following rectal and uterine surgery", pp.501~4
  22. "Preserving autonomic nerves in rectal surgery Results of surgical preparation on human cadavers with fixed pelvic sections", 71, pp.1222~9 (2000)
  23. "The vascular and neuronal composition of the lateral ligament of the rectum and the rectosacral fascia", pp.17~22
  24. "An assessment of the anatomical relationship between the pelvic plexus and the rectal wall to determine the indications for its preservation in surgery for rectal cancer", 27, pp.1005~9 (1997)
  25. "Rectal arteries in man", pp.398~416
  26. "Morphology of the middle rectal arteries A study of 30 cadaveric dissections", pp.229~36
  27. "Contribution to the surgical anatomy of the ligaments of the rectum", 43, pp.1592~8 (2000)
  28. "Lateral ligaments of the rectum an anatomical study", 86, pp.487~9 (1999)
  29. "Anatomic relations of pelvic autonomic nerves to pelvic operations", pp.324~8
  30. "Cadaveric dissection for the rectal surgeon", 83, pp.89~95 (2001)
  31. "Impotence following radical prostatectomy insight into etiology and prevention", pp.492~7
  32. "Avoiding long-term disturbance to bladder and and sexual function in pelvic surgery particularly with rectal cancer", 18, pp.235~43 (2000)
  33. "Anatomical basis of autonomic nerve-preserving total mesorectal excision for rectal camcer", 83, pp.384~8 (1996)
  34. "Radical pelvic surgery with preservation of sexual function", pp.391~400
  35. "Neuroanatomy of the pelvis implications for colonic and rectal resection", 43, pp.1390~7
  36. "The surgical anatomy of the rectum - a review with particular relevance to the hazards of rectal mobilization", pp.158~66
  37. "The modern abdominoperineal excision the next challenge after total mesorectal excision", 242, pp.74~82 (2005)
  38. "Technique and long-term results of intersphincteric resection for low rectal cancer" (1858)
  39. "High-resolution MRI of the anatomy important in total mesorectal excision of the rectum", 182, pp.431~9 (2004)
  40. "Tumor specific mesorectal excision for rectal cancer workshop. Seoul: MEDrang Inc.; 2005. Contract No. 0412-CR01-0704-0001. Clinical research center for solid tumor sponsored by the Korean Ministry of Health and Welfare", pp.0412~ (2005), Republic of Korea
  41. "A national strategic change in treatment policy for rectal cancer-implementation of total mesorectal excision as routine treatment in Norway", 45, pp.857~66 (2002)

관련 논문AI추천

Exposure of the Middle Rectal Artery and Lateral Ligament of the Rectum Following the Gate Approach during Total Mesorectal Excision김남규, Cristopher Varela, Manar Nassr연세대학교의과대학 · Yonsei Medical Journal2022 · 제63권 제5호Impact of the New AJCC Staging System and Adjuvant Treatment in Rectal Cancer권혁찬, 김성현, 김재석, 김효진, 노미숙, 박기재, 이형식, 최홍조, Chang Kil Jung, Min Ah Park, Shin Ae Lee대한암학회 · Cancer Research and Treatment2004 · 제36권 제2호Optimal Complete Rectum Mobilization Focused on the Anatomy of the Pelvic Fascia and Autonomic Nerves: 30 Years of Experience at Severance Hospital김남규, 김호승, Mohmmed Alessa, Radwan Torky연세대학교의과대학 · Yonsei Medical Journal2021 · 제62권 제3호Efficacy of Postoperative Concurrent Chemoradiation for Resectable Rectal Cancer: A Single Institute ExperienceChang Ok Suh, Gwi Eon Kim, Hee Chul Chung, Hyun Cheol Chung, Jae Kyung Roh, Jin Sil Seong, Joong Bae Ahn, Nae Choon Yoo, Nam Kyu Kim, Woong Ho Shim대한암학회 · Cancer Research and Treatment2004 · 제36권 제4호Robotic Surgery for Rectal Cancer: An Update in 2015곽정면, 김선한대한암학회 · Cancer Research and Treatment2016 · 제48권 제2호Contributing Factors on Lymph Node Yield after Surgery for Mid-Low Rectal Cancer권혜연, 박윤아, 손승국, 안영재, 이강영연세대학교의과대학 · Yonsei Medical Journal2013 · 제54권 제2호

이 간행물의 다른 논문 (8건)

Anaplastic Thyroid Carcinoma: A Therapeutic Dilemma장항석, 박정수, 남기현, 정웅윤pp. 759-764The Effect of Pretreatment with Thiopental on Reducing Pain Induced by Rocuronium Injection최재찬, 유영수, 김순열, 박종택, 임현교, 이영복pp. 765-768The Efficacy of the Prophylactic Use of Octreotide after a Pancreaticoduodenectomy조재원, 최동욱, 김용일, 허진석, 최성호, 문현종pp. 788-793Comparison of the Predictive Value of Myelography, Computed Tomography and MRI on the Treadmill Test in Lumbar Spinal Stenosis곽윤혜, 문은수, 심동준, 하종원, 신동은, 박진오, 김학선, 이광일pp. 806-811Combined Treatment of an Intratumoral Injection of Dendritic Cells and Systemic Chemotherapy (Paclitaxel) for Murine Fibrosarcoma성도환, 최광성, 송순욱, 임문환, 길혜윤, 이문희, 김순기, 김철수, 이종록, 이홍식, 김우철, 이민걸pp. 835-842
원문 보기